| NPI | 1700250669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A181596) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A181596) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A181596) | |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2026-09-01 |