NPI | 1396784955 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO R1J18) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO R1J18) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2010-07-06 |