| NPI | 1467448704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL ME81233) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME81233) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NV 16544) | |
| 207LH0002X Anesthesiology, Hospice and Palliative Medicine (Licence: NV 16544) | |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2024-02-13 |