| NPI | 1801357389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME156948) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME156948) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2026-02-19 |