| NPI | 1992093173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A144175) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R72773) |
| 207P00000X Emergency Medicine (Licence: CA A144175) | |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2020-01-31 |