| NPI | 1669408845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 027517) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 027517) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2015-02-26 |