NPI | 1114906468 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0085124) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 100452) |
Enumeration Date | 2006-01-14 |
Last Update Date | 2023-05-03 |