| NPI | 1518426535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0072855) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CO DR.0072855) |
| 208600000X Surgery (Licence: CO DR.0072855) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2024-05-23 |