| NPI | 1205816899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL me114831) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0052950) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MD D0052950) | |
| 207P00000X Emergency Medicine (Licence: FL ME114831) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2017-06-14 |