| NPI | 1083900625 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV DO2215) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101019326) |
| 207P00000X Emergency Medicine (Licence: NV DO2215) | |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2018-06-18 |