| NPI | 1801045133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036155857) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: PA OS014818) |
| 207P00000X Emergency Medicine (Licence: NC 2010-00473) | |
| 207P00000X Emergency Medicine (Licence: FL OS11793) | |
| 207P00000X Emergency Medicine (Licence: VA 0102203823) | |
| 207P00000X Emergency Medicine (Licence: PA OS014818) | |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2021-08-27 |