| NPI | 1477600260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OR MD164762) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD486958) |
| 207L00000X Anesthesiology (Licence: OR MD164762) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A111260) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101282546) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2024-11-05 |