| NPI | 1265993000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 68007) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 30246) |
| 207P00000X Emergency Medicine (Licence: MN 68007) | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2024-02-11 |