| NPI | 1518932292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AL 36406) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MN 45732) |
| 207P00000X Emergency Medicine (Licence: MN 45732) | |
| 207P00000X Emergency Medicine (Licence: AL 36406) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2022-03-16 |