| NPI | 1093782187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 45337) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 46821) |
| 207P00000X Emergency Medicine (Licence: MN 45337) | |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2022-02-21 |