| NPI | 1578839817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL ME154336) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO DR.0061846) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2022-06-30 |