| NPI | 1376077404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV 21311) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 21311) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NV 21311) | |
| Enumeration Date | 2017-04-15 |
| Last Update Date | 2022-08-31 |