| NPI | 1275948283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IA MD-43334) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MN 65431) |
| 207L00000X Anesthesiology (Licence: IA MD-43334) | |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2020-07-31 |