| NPI | 1598830416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 13443) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01049735A) |
| 207P00000X Emergency Medicine (Licence: CA A70416) | |
| 207P00000X Emergency Medicine (Licence: TX K8769) | |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2015-03-26 |