| NPI | 1083679831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: SC 21090) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC 021090) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2024-10-08 |