NPI | 1821027202 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 018473) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA MD.018473) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2015-07-09 |