NPI | 1023053055 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME 014962) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME 014962) |
Enumeration Date | 2006-06-16 |
Last Update Date | 2024-11-06 |