| NPI | 1568673135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AL L2919DP) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: IA R7747) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2021-11-04 |