| NPI | 1376767897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MT MED-PHYS-LIC-40778) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: UT 7734911-1205) |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: MT MED-PHYS-LIC-40778) | |
| 207L00000X Anesthesiology (Licence: NM MD2011-0008) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2019-11-18 |