| NPI | 1881223485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5151014345) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 5101026770) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2023-10-18 |