| NPI | 1689060600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DC MD210002522) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: DC MD210002522) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2022-09-02 |