| NPI | 1023052511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR DO212509) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: VA 0102201431) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2023-07-18 |