| NPI | 1609991629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV 18005) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 18005) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2021-05-13 |