| NPI | 1275951758 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301106070) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301106070) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2018-06-11 |