| NPI | 1225665771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 332283) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 3016839) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MA 3016839) | |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2024-09-02 |