| NPI | 1003934100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID O-0980) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE AT2887175) |
| 207R00000X Internal Medicine (Licence: DE AT2887175) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2015-09-25 |