NPI | 1598969115 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301083440) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036-135302) |
Enumeration Date | 2007-06-14 |
Last Update Date | 2023-02-20 |