| NPI | 1083914519 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A119379) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NM MD2019-0533) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A119379) | |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2024-08-01 |