| NPI | 1447592522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2019-00652) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NC 2019-00652) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2024-02-27 |