| NPI | 1427151661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD187367) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MT MED-PHYS-LIC-19659) |
| 207L00000X Anesthesiology (Licence: MT MED-PHYS-LIC-19659) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2024-04-01 |