NPI | 1891713293 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME57929) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME0057929) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2020-03-10 |