| NPI | 1295232361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL ME164195) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX T1887) |
| 207P00000X Emergency Medicine (Licence: FL ME164195) | |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2023-12-07 |