| NPI | 1942864244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2025-02097) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2025-02097) |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2025-08-21 |