| NPI | 1417166265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA 3857) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA OP60402973) |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: IA 3857) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2024-12-07 |