NPI | 1912403940 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A180597) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A180597) |
Enumeration Date | 2018-03-30 |
Last Update Date | 2025-09-04 |