| NPI | 1003857632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N5663) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D61589) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D61589) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2022-10-25 |