| NPI | 1942476494 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 51773) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 51773) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 51773) | |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2026-07-09 |