| NPI | 1427140862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 030372) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 030372) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2017-11-29 |