| NPI | 1730477837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 24628) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MS 242628) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2019-11-25 |