| NPI | 1083741417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX U8809) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 249212) |
| 207L00000X Anesthesiology (Licence: CT 55606) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CT 55606) | |
| 208600000X Surgery (Licence: MA L-228700) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2024-02-22 |