NPI | 1528292471 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A149450) |
Additional Taxonomies | 207N00000X Dermatology (Licence: NM MD2022-1046) |
207P00000X Emergency Medicine (Licence: TN 51688) | |
207R00000X Internal Medicine (Licence: LA MD.205104) | |
Enumeration Date | 2009-05-06 |
Last Update Date | 2022-09-22 |