| NPI | 1821617135 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A183457) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A183457) |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2025-02-10 |