| NPI | 1184602369 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TN 1776) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NC 98-00174) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: DC MD32379) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MS 20128) | |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2023-09-06 |