| NPI | 1326667619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA MD-53309) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A185827) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IA MD-53309) | |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2024-08-27 |