NPI | 1760425979 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 31298) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 31298) |
Enumeration Date | 2006-06-14 |
Last Update Date | 2019-10-23 |