| NPI | 1851970735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: UT 13930740-1204) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20820) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2024-05-06 |