| NPI | 1437579539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME139985) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 271232) |
| 207P00000X Emergency Medicine (Licence: FL me139985) | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2023-03-28 |