| NPI | 1891733770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 9963) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NH 9963) |
| 207Q00000X Family Medicine (Licence: NH 9963) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2009-11-03 |