| NPI | 1700178746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D86205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-8101) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AL 43363) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MD D86205) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: TN 56040) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: AR E-8101) | |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2024-02-01 |