| NPI | 1144252750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2006-00531) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NC 2006-00531) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2024-07-19 |