| NPI | 1871156950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: HI 23465) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: HI 23465) |
| 207P00000X Emergency Medicine (Licence: TX T7396) | |
| 207P00000X Emergency Medicine (Licence: AZ R77396) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX T7396) | |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2024-10-04 |