NPI | 1346215720 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 38567) |
Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MN 38567) |
207Q00000X Family Medicine (Licence: MN 38567) | |
Enumeration Date | 2006-02-21 |
Last Update Date | 2025-10-06 |