| NPI | 1720616923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A192780) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A192780) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2024-09-30 |