| NPI | 1033340906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME140682) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0076001) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2023-09-06 |