| NPI | 1144859331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: AZ 76781) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A200253) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NM MD2025-0502) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IA MD-51383) | |
| 207P00000X Emergency Medicine (Licence: NM MD2025-0502) | |
| 207P00000X Emergency Medicine (Licence: MI 431144859331) | |
| 207P00000X Emergency Medicine (Licence: CA A200253) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2025-06-16 |