NPI | 1013443746 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A163046) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A163046) |
Enumeration Date | 2017-05-01 |
Last Update Date | 2022-05-24 |