| NPI | 1952612467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2013039371) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2013039371) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2019-10-29 |