| NPI | 1285196410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A196274) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME156869) |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2025-07-24 |