| NPI | 1396745121 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LH0002X Anesthesiology, Hospice and Palliative Medicine (Licence: AZ 23509) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 23509) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2015-08-10 |