| NPI | 1699918383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: MO 2010034069) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2010034069) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MO 2010034069) | |
| Enumeration Date | 2009-04-11 |
| Last Update Date | 2019-04-03 |