| NPI | 1538662358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2024013034) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2024013034) |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2024-07-11 |