| NPI | 1861791535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME123713) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME123713) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2021-11-08 |