| NPI | 1356847875 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A194616) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A194616) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2024-09-09 |