| NPI | 1275995433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 75726-21) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 279341) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2021-11-30 |