| NPI | 1801291620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301502064) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301105755) |
| 207R00000X Internal Medicine (Licence: MI 4301105755) | |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2021-12-20 |