| NPI | 1164409520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: DC MD042831) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME64213) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL ME64213) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2023-11-22 |