| NPI | 1518984178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2009005091) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NV 19271) |
| 207P00000X Emergency Medicine (Licence: MO 2009005091) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-09-10 |