| NPI | 1487005336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CT 75689) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 75689) |
| 207P00000X Emergency Medicine (Licence: WI 75571-21) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WI 75571-21) | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2023-08-09 |