| NPI | 1801531363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: VA 0116035350) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0116036350) |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2025-05-22 |