| NPI | 1295710044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-131730) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CA 20A8436) |
| 207R00000X Internal Medicine (Licence: CA 20A8436) | |
| 207R00000X Internal Medicine (Licence: MA 260285) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2023-03-17 |