| NPI | 1740410679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV SL0682) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 5131) |
| 207R00000X Internal Medicine (Licence: OK 5131) | |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2025-03-19 |