| NPI | 1649489402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A121765) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301087479) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2021-11-03 |