| NPI | 1861431280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0036487) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D36487) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2024-04-23 |