| NPI | 1477873842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA l-244062) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NC 2015-01903) |
| 207L00000X Anesthesiology (Licence: NC 2015-01903) | |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2015-11-23 |