| NPI | 1003102146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2013-01350) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2013-01350) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2013-01350) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2023-12-18 |