| NPI | 1871577049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL 34093) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G47762) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AL 34093) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA G47762) | |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2021-03-02 |