| NPI | 1417342007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL ME139535) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME139535) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2023-12-04 |