| NPI | 1053632034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA C137716) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX H5896) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: PA MD439803) | |
| 207P00000X Emergency Medicine (Licence: PA MD439803) | |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2022-09-01 |