| NPI | 1457715047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IA DO-05342) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TN 5305) |
| 207P00000X Emergency Medicine (Licence: IA DO-05342) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA DO-05342) | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2026-06-30 |