| NPI | 1437655248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: KY 59355) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IN 01093323A) |
| 207P00000X Emergency Medicine (Licence: OH 35.141219) | |
| 207P00000X Emergency Medicine (Licence: MO 2022026690) | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2024-08-05 |