| NPI | 1578527347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: AZ 20495) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 25691) |
| 207L00000X Anesthesiology (Licence: AZ 20495) | |
| 207L00000X Anesthesiology (Licence: NM 2000234) | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2023-09-20 |