| NPI | 1295021236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CT 68191) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2016009653) |
| 207L00000X Anesthesiology (Licence: MA 1020725) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2024-09-13 |