| NPI | 1013995554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL DO-719) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL DO-719) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2023-03-07 |