| NPI | 1013945823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD219470) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR 15815) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2026-08-24 |