NPI | 1457856031 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: CA A166751) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A166751) |
Enumeration Date | 2018-03-27 |
Last Update Date | 2023-10-10 |