| NPI | 1124230750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: GA 069979) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 069979) |
| 207L00000X Anesthesiology (Licence: GA 69979) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2023-07-23 |