| NPI | 1194996405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV 13603) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A112372) |
| 207P00000X Emergency Medicine (Licence: NV 13603) | |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2022-06-18 |