| NPI | 1487966396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 92494) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 053749) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: GA 92494) | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2023-12-06 |