| NPI | 1174540983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2021035111) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: MO 2021035111) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2024-04-25 |