| NPI | 1770996902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A134473) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A134473) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A134473) | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2018-12-20 |