| NPI | 1417243239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: CA A126668) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A126668) |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: CO DR.0058295) | |
| 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: CA A126668) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2023-07-12 |