| NPI | 1588907208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301501706) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301501706) |
| 207R00000X Internal Medicine (Licence: MI 4301501706) | |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2022-02-21 |