| NPI | 1922703149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0116037930) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116037930) |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2025-05-27 |