| NPI | 1932143666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 24327) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 00024327) |
| 207R00000X Internal Medicine (Licence: AL 00024327) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-11-13 |