| NPI | 1093977696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA A109964) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A109964) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2024-03-22 |