| NPI | 1750589727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NM MD2010-0476) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NM AB7003469-B439) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NM MD2010-0476) | |
| 207P00000X Emergency Medicine (Licence: NM AB7003469-B439) | |
| 207P00000X Emergency Medicine (Licence: WA MD 60152927) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2023-07-13 |