| NPI | 1013591783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: SC DO91395) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.016127) |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2024-06-25 |