| NPI | 1225487499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 92333) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 92333) |
| 207P00000X Emergency Medicine (Licence: MA 266919) | |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2023-04-24 |