| NPI | 1083009617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DE C1-0012533) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0012533) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2020-09-11 |