| NPI | 1184700932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA G48789) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G48789) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CA G48789) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2023-08-04 |