| NPI | 1760917991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD H94955) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD H94955) |
| 207P00000X Emergency Medicine (Licence: SC 51247) | |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2023-01-24 |