NPI | 1962441998 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101015612) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101015612) |
Enumeration Date | 2006-06-05 |
Last Update Date | 2024-09-27 |