| NPI | 1154551984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301102642) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301102642) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2025-02-24 |