| NPI | 1992916258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 61911) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A121435) |
| 207P00000X Emergency Medicine (Licence: MI 4301087478) | |
| 207R00000X Internal Medicine (Licence: MI 4301087478) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2022-07-21 |