| NPI | 1447664065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301104870) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 271162) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: DC MD049287) | |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2021-07-20 |