| NPI | 1295723708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA G45108) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G45108) |
| 207L00000X Anesthesiology (Licence: CA G45108) | |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2024-03-20 |