| NPI | 1114967221 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D45275) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D45275) | 
| Enumeration Date | 2006-06-07 | 
| Last Update Date | 2019-02-05 |