| NPI | 1669438719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2018033138) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01044550A) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2019-08-19 |