| NPI | 1326269226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 112594) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2006-01533) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2026-08-27 |