| NPI | 1699741041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 12382) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA 36387) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 12382) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2022-10-26 |