| NPI | 1528217254 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL OS15180) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2014013677) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2023-04-19 |