| NPI | 1528528502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: TX V0566) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D97005) |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: MD D97005) | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2024-09-12 |