| NPI | 1619003084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A84571) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 238969) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A84571) | |
| 207R00000X Internal Medicine (Licence: MA 238969) | |
| 207R00000X Internal Medicine (Licence: CA A84571) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2025-02-05 |