| NPI | 1033150263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 09818) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 09818) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2011-07-26 |