| NPI | 1336256734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: GA 42770) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101246617) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2024-06-16 |