| NPI | 1144684101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: VA 0101275477) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101275477) |
| 207L00000X Anesthesiology (Licence: WI 1144684101) | |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2023-03-17 |