| NPI | 1952861890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 13296081-1205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A179152) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: UT 13296081-1205) | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2023-08-23 |