| NPI | 1467999631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PR 19903) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: PR 19903) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2024-05-24 |