| NPI | 1417932039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD 45736) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MA 45736) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2020-11-24 |