| NPI | 1588051361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A144998) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A144998) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2023-12-14 |