| NPI | 1245561653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 47338) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301092096) |
| 207P00000X Emergency Medicine (Licence: AZ 47338) | |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2020-10-08 |