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 |