| NPI | 1215254784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: MN 62855) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 055554) |
| 207L00000X Anesthesiology (Licence: IA 41888) | |
| 207L00000X Anesthesiology (Licence: MA 290680) | |
| 207L00000X Anesthesiology (Licence: MN 62855) | |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2024-03-13 |