NPI | 1699079202 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME106903) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME106903) |
Enumeration Date | 2010-12-23 |
Last Update Date | 2024-06-19 |