| NPI | 1467776229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D87463) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD179768) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MD D87463) | |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2019-08-14 |