| NPI | 1821074899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI md-9827) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: HI md-9827) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2007-07-24 |