NPI | 1467911255 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 310686) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2022020020) |
207P00000X Emergency Medicine (Licence: NY 310686) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2022020020) | |
Enumeration Date | 2019-03-19 |
Last Update Date | 2024-06-18 |