| NPI | 1063427532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 38676) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 221551) |
| 207P00000X Emergency Medicine (Licence: KY 42779) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: SC 38676) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2023-06-23 |