| 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 | 2025-11-17 |