| NPI | 1437130184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME100022) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 1013) |
| 207P00000X Emergency Medicine (Licence: TX N4745) | |
| 207P00000X Emergency Medicine (Licence: FL ME100022) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2017-04-27 |