| NPI | 1275845208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2020009346) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2020009346) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2020009346) | |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2026-08-11 |