| NPI | 1538156443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: PA OS005185L) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA 05005185L) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2018-04-27 |