| NPI | 1306105028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MI 4301501477) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301501477) |
| 207L00000X Anesthesiology (Licence: GA 78188) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: GA 78188) | |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2020-04-13 |