| NPI | 1295764124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL DO.340) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL DO.340) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: AL DO-340) | |
| 207Q00000X Family Medicine (Licence: AL DO.340) | |
| 208M00000X Hospitalist (Licence: AL DO.340) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2021-10-01 |