| NPI | 1457888471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD469472) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ME MD26855) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ME MD26855) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD469472) | |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2023-05-08 |