| NPI | 1386698322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID M-6162) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID M-6162) |
| 207R00000X Internal Medicine (Licence: WA MD00037300) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2024-07-19 |