| NPI | 1376862425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 47122) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 47122) |
| 207P00000X Emergency Medicine (Licence: MI 4301 096 270) | |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2020-10-21 |