NPI | 1174631758 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: AL 19681) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 19681) |
207R00000X Internal Medicine (Licence: AL 19681) | |
Enumeration Date | 2006-08-25 |
Last Update Date | 2022-07-13 |