| NPI | 1194073437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 054290) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CT 054290) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 54290) | |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2015-10-13 |