| NPI | 1932405594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A107694) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MN 105731) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MN 54427) | |
| 207P00000X Emergency Medicine (Licence: OR MD162199) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: OR MD162199) | |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2016-05-18 |