| NPI | 1477753267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: GA 80616) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: GA 80616) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2021-07-23 |