| NPI | 1598344525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NC 2026-02694) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0116035926) |
| 207P00000X Emergency Medicine (Licence: NC 2026-02694) | |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2026-07-31 |