| NPI | 1881263598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NM MD2026-0671) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM MD2026-0671) |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2026-07-28 |