| NPI | 1912293267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA 20A15976) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A15976) |
| 207R00000X Internal Medicine (Licence: CA 20A15976) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR PG177411) | |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2018-08-21 |