| NPI | 1346703816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 74181-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 74181-20) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2025-09-08 |