| NPI | 1447361456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301068699) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101235024) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301068699) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-02-04 |