| NPI | 1003355629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: DC DO210001340) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: CA 20A18284) |
| 207P00000X Emergency Medicine (Licence: CA 20A18284) | |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2022-07-01 |