| NPI | 1326041518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD H31298) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD H31298) |
| 207P00000X Emergency Medicine (Licence: MD H31298) | |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2013-01-14 |