| NPI | 1467508788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 74888) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA MD-42596) |
| 207L00000X Anesthesiology (Licence: NH 13911) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IA MD-42596) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NH 13911) | |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2023-08-25 |