| NPI | 1003029323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 1149) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 1149) |
| 207L00000X Anesthesiology (Licence: OH 34008457) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2021-08-11 |