| NPI | 1497874762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD-48210) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301081908) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IA MD-48210) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MI 4301081908) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2021-04-05 |