| NPI | 1053571687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: VA 0101261835) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0076074) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D0076074) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2022-09-09 |