| NPI | 1750021564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA 201553) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 201553) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2026-04-06 |