| NPI | 1932218872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 27642) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: GA 052866) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2025-08-05 |