| NPI | 1295766871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA MD-30397) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2001021517) |
| 207R00000X Internal Medicine (Licence: IA 30397) | |
| 207R00000X Internal Medicine (Licence: IL 36059051) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2019-07-01 |