| NPI | 1316308729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34.017319) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NE 2115) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2020011738) | |
| 207P00000X Emergency Medicine (Licence: AK 194553) | |
| 208M00000X Hospitalist (Licence: AK 194553) | |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2024-10-09 |