| NPI | 1407026230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 81894) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: AZ 41619) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2020-10-21 |