| NPI | 1942761036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ME MD25988) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 250919) |
| 207P00000X Emergency Medicine (Licence: ME MD25988) | |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2022-06-17 |