| NPI | 1184769267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: VA 0101052453) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101052453) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2023-05-17 |