| NPI | 1477695054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: GA 082076) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 28538) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NE 28538) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2021-04-29 |