| NPI | 1407896343 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: DC MD31628) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: DC MD31628) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2022-07-07 |