| NPI | 1013942739 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102201380) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0102201380) |
| 207R00000X Internal Medicine (Licence: TN DO1918) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2011-04-19 |