NPI | 1083874366 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 246744) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA C163053) |
207P00000X Emergency Medicine (Licence: NY 246744) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD459528) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA C163053) | |
Enumeration Date | 2008-06-11 |
Last Update Date | 2023-09-12 |