NPI | 1154438349 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D65991) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D65991) |
207P00000X Emergency Medicine (Licence: DE C7-0002982) | |
207P00000X Emergency Medicine (Licence: DE C10008032) | |
207Q00000X Family Medicine (Licence: MD D65991) | |
Enumeration Date | 2006-08-24 |
Last Update Date | 2024-02-28 |