| NPI | 1043205297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 40516) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 40516) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 40516) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01052867) | |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2022-12-07 |