NPI | 1003205956 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301513428) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 273152) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 273152) | |
2086S0127X Surgery, Trauma Surgery (Licence: MA 273152) | |
Enumeration Date | 2015-01-15 |
Last Update Date | 2025-06-24 |