NPI | 1730477837 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0097258) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0097258) |
Enumeration Date | 2011-07-11 |
Last Update Date | 2024-06-28 |