| NPI | 1831518943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD.207859) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 35173) |
| 207R00000X Internal Medicine (Licence: LA MD.207859) | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2022-08-01 |