| NPI | 1932309002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2014007386) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2007019033) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2022-09-12 |