| NPI | 1215955752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: MI 4301060010) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 4301060010) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MI 4301060010) | |
| 207L00000X Anesthesiology (Licence: MI 4301060010) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2014-04-02 |