| NPI | 1174941082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2018011955) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD H86568) |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2021-03-31 |