| NPI | 1083758197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA A97855) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A97855) |
| 207P00000X Emergency Medicine (Licence: CA A97855) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2024-03-23 |