| NPI | 1396088209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 24034) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS T-2663) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MS 24034) | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2019-11-21 |