NPI | 1407823099 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 25714) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL MD25714) |
Enumeration Date | 2006-03-02 |
Last Update Date | 2011-10-31 |