| NPI | 1316388903 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 67589-21) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 67589) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WI 67589) | |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2024-07-29 |