| NPI | 1285746230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 34480) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 34480) |
| 207R00000X Internal Medicine (Licence: IL 36112232) | |
| 207R00000X Internal Medicine (Licence: CA A93380) | |
| 207R00000X Internal Medicine (Licence: TX M4592) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-08-21 |