| NPI | 1447747878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101275659) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101275659) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2025-09-15 |