| NPI | 1336309178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A119197) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A119197) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A119197) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2021-12-03 |