| NPI | 1538483292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OR DO196056) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: PA OS015318) |
| 207L00000X Anesthesiology (Licence: PA OT-012832) | |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2019-12-29 |