| NPI | 1427092915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME112820) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX H3101) |
| 207P00000X Emergency Medicine (Licence: FL ME112820) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2018-12-14 |