| NPI | 1124090980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA 26117) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IA 26117) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2023-12-07 |