| NPI | 1972913002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX Q7370) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX Q7370) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2020-01-29 |