| NPI | 1205465028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM MD2023-0028) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NM MD2023-0028) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2025-06-18 |