| NPI | 1245688415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS17618) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA 20A16635) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL OS17618) | |
| 207P00000X Emergency Medicine (Licence: MI 5101022498) | |
| Enumeration Date | 2016-05-29 |
| Last Update Date | 2023-07-21 |