| NPI | 1194769091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G70447) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G70447) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA G70447) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2008-02-26 |