| NPI | 1003304833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A192546) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D95321) |
| 207P00000X Emergency Medicine (Licence: CA A192546) | |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2024-02-14 |