| NPI | 1114333648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 51444) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: KY 51444) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OK 34492) | |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2020-09-24 |