| NPI | 1588105837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 81352) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2021024309) |
| 207P00000X Emergency Medicine (Licence: IL 125070012) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 81352) | |
| Enumeration Date | 2017-03-19 |
| Last Update Date | 2023-06-01 |