| NPI | 1871798397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 156756) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA P-156756) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2016-09-30 |