| NPI | 1396908059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A135881) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A135881) |
| 207P00000X Emergency Medicine (Licence: NY 261132-1) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2021-12-01 |