| NPI | 1487626032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20a11662) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02002377a) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2020-01-09 |