| NPI | 1427475433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 22919) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NH 22919) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: PA MD464729) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 302281) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MA 1019299) | |
| 207L00000X Anesthesiology (Licence: PA MD464729) | |
| 207L00000X Anesthesiology (Licence: NY 302281) | |
| 207L00000X Anesthesiology (Licence: MA 1019299) | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2024-04-03 |