| NPI | 1922017458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: MI 4301067132) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301067132) |
| 207R00000X Internal Medicine (Licence: MI 4301067132) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2017-01-11 |