| NPI | 1760725337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301117552) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301117552) |
| 207P00000X Emergency Medicine (Licence: MI 4301117552) | |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2020-04-29 |