| NPI | 1154334860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO R8J98) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO R8J98) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2021-08-05 |