| NPI | 1578723490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: VA 0101246850) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101246850) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2020-10-05 |