| NPI | 1528002045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A68632) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ND 10489) |
| 207L00000X Anesthesiology (Licence: WI 44931-20) | |
| 207L00000X Anesthesiology (Licence: TX Q0875) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WI 44931-20) | |
| 207P00000X Emergency Medicine (Licence: WI 44931-20) | |
| 207R00000X Internal Medicine (Licence: MN 40235) | |
| 207R00000X Internal Medicine (Licence: SD 5615) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 44931-20) | |
| 207P00000X Emergency Medicine (Licence: TX Q0875) | |
| 207R00000X Internal Medicine (Licence: WI 44931-020) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2021-10-11 |