| NPI | 1003871161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A75198) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A75198) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A75198) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2024-12-17 |