| NPI | 1891753406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101056882) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101056882) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: VA 0101056882) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2023-11-14 |