| NPI | 1073540712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD H0099447) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL OS8230) |
| 207R00000X Internal Medicine (Licence: FL OS8320) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2024-03-12 |