| NPI | 1093957375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A127395) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MN 106793) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 57106) | |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2014-11-18 |