| NPI | 1508038399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: AZ 49635) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2013-00631) |
| 207L00000X Anesthesiology (Licence: OH 094291) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NC 2013-00631) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OH 094291) | |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2021-06-28 |