| NPI | 1073139895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MI 4301514764) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4351046053) |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2025-08-06 |