| NPI | 1679953848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MI 4301107510) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301107510) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2021-02-19 |