| NPI | 1346803426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 88131) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 88131) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2024-07-30 |