| NPI | 1174186522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 294955) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 294955) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 81425-21) | |
| Enumeration Date | 2019-04-20 |
| Last Update Date | 2024-11-20 |