NPI | 1356592562 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 30739) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL MD.30739) |
Enumeration Date | 2008-10-07 |
Last Update Date | 2020-04-22 |