| NPI | 1508248790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA 308222) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC LL38313) |
| 207P00000X Emergency Medicine (Licence: LA 308222) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 308222) | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2023-06-01 |