| NPI | 1962660803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A131390) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: CA A131390) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: GU M-2401) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: GU MTL-2023-015) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2023-09-18 |