| NPI | 1497893762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D0067473) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D67473) |
| 207L00000X Anesthesiology (Licence: MD 4906) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2024-05-21 |