| NPI | 1477759868 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MT MED-PHYS-LIC-28835) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NM RS20070356) |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: MT MED-PHYS-LIC-28835) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2014-03-11 |