| NPI | 1336436054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301098458) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301098458) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2025-01-22 |