| NPI | 1326380007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR DO189190) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: OR DO189190) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2018-10-29 |