| NPI | 1831451467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 17278) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NH 17278) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2022-07-21 |