| NPI | 1083836001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2010-00583) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2010-00583) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NC 157846) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2021-09-02 |