| NPI | 1730322942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME130783) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL 130783) |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2019-10-22 |