| NPI | 1558648972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D0075611) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0075611) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D75611) | |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2019-10-29 |