| NPI | 1710924014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: HI 13169) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0057988) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2023-03-07 |