| NPI | 1912213422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2013026040) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2010024122) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2017-04-07 |