| NPI | 1316479926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 39487) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 332024) |
| 207L00000X Anesthesiology (Licence: GU M-2393) | |
| 207L00000X Anesthesiology (Licence: OR MD214372) | |
| 207L00000X Anesthesiology (Licence: SC 91850) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA 332024) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GU M-2393) | |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2024-04-26 |