| NPI | 1326338799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA C172478) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA C172478) |
| 207L00000X Anesthesiology (Licence: GA 076685) | |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2021-12-17 |