| NPI | 1326019068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME174908) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 046023) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: GA 046023) | |
| 207P00000X Emergency Medicine (Licence: MA MCS009935A) | |
| 207P00000X Emergency Medicine (Licence: NH 23299) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX N8162) | |
| 207P00000X Emergency Medicine (Licence: VA 0101233341) | |
| 207Q00000X Family Medicine (Licence: VA 0101233341) | |
| 207P00000X Emergency Medicine (Licence: GA 046023) | |
| 207P00000X Emergency Medicine (Licence: TX N8162) | |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2026-07-29 |