| NPI | 1043623135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 89244) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: SC 89244) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2024-05-19 |