| NPI | 1376063537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL ME145589) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT214361) |
| 207P00000X Emergency Medicine (Licence: FL ME145589) | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2024-02-27 |