NPI | 1013479807 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 87610) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 87610) |
Enumeration Date | 2019-04-02 |
Last Update Date | 2024-09-25 |