| NPI | 1033271853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AK AK 7044) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO 46060) |
| 207P00000X Emergency Medicine (Licence: CO 46060) | |
| 207P00000X Emergency Medicine (Licence: AK AK 7044) | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2012-01-06 |