| NPI | 1689913873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A129002) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CA A129002) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A129002) | |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2024-06-03 |