| NPI | 1326271461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL ME146182) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 073683) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: GA 073683) | |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2022-07-22 |