| NPI | 1306341649 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2022044546) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2022044546) |
| 207P00000X Emergency Medicine (Licence: MO 2022044546) | |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2024-09-26 |