| NPI | 1295055796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: KY 50171) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 50171) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2019-04-16 |