| NPI | 1275613846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL ME90401) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR E-5033) |
| 207L00000X Anesthesiology (Licence: FL ME90401) | |
| 207L00000X Anesthesiology (Licence: AZ 32632) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: AZ 32632) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2022-05-04 |