| NPI | 1306927900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: NC 2019-00087) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX K8775) |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: TX K8775) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2023-06-14 |