| NPI | 1154346138 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NH 12109) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NH 12109) | 
| Enumeration Date | 2006-07-12 | 
| Last Update Date | 2008-01-03 |