| NPI | 1316168230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 37192) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 37192) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036125256) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2018-04-05 |