| NPI | 1982100798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA a163992) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA a163992) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2024-08-23 |