| NPI | 1447221817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AL 24176) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: AL 24176) |
| 207PE0004X Emergency Medicine Emergency Medical Services (Licence: AL 24176) | |
| 2083A0100X Preventive Medicine Aerospace Medicine (Licence: AL 24176) | |
| 208D00000X General Practice (Licence: AL 24176) | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2011-06-24 |