| NPI | 1578757167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD-46087) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA SP-194) |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: IA SP194) | |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: IA R8017) | |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: IA MD-46087) | |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2020-02-21 |