| NPI | 1811383086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 101876) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA MD-45081) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: KY TP383) | |
| 207P00000X Emergency Medicine (Licence: KY TP383) | |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2024-10-18 |