| NPI | 1073744827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MI 4301103341) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301103341) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2022-07-18 |