| NPI | 1265847776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 55934) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: AZ 55934) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2024-10-20 |