| NPI | 1891750220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT 10614) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G53318) |
| 207R00000X Internal Medicine (Licence: MT 10614) | |
| 207R00000X Internal Medicine (Licence: CA G53318) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2023-11-27 |