| NPI | 1295266526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME157214) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A169403) |
| 207P00000X Emergency Medicine (Licence: FL ME157214) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2024-04-23 |