| NPI | 1386969327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 60619) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 60619) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2019-11-07 |