| NPI | 1922275221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME109392) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME109392) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2011-05-20 |