| NPI | 1538454772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME128684) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME128684) |
| 207P00000X Emergency Medicine (Licence: FL MD128684) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL MD128684) | |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2023-01-11 |