| NPI | 1134493588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS16524) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 2651) |
| 207R00000X Internal Medicine (Licence: TN 2651) | |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2020-10-30 |