| NPI | 1831151141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101014037) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 5101014037) |
| 207P00000X Emergency Medicine (Licence: NM A-1193-02) | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2019-10-10 |