| NPI | 1639480205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: KY 58409) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OH 35.141989) |
| 207P00000X Emergency Medicine (Licence: TX P8700) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: KY 58409) | |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2024-04-25 |