| NPI | 1104385103 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A176180) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A176180) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2024-04-11 |