| NPI | 1437246808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 42825) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 42825) |
| 207R00000X Internal Medicine (Licence: MN 31571) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2024-04-30 |