| NPI | 1447563200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101018778) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101018778) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2021-12-28 |