| NPI | 1144630310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 19754) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 19754) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV 19754) | |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2020-11-24 |