| NPI | 1487652350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 23472) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 23472) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2024-09-30 |