| NPI | 1447461744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2009013297) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2009013297) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2024-04-25 |