| NPI | 1093764151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 25699) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G38608) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2024-11-14 |