| NPI | 1497333512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 317799) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101281117) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2024-10-03 |