| NPI | 1578880175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WI 69279) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2015-00832) |
| 207L00000X Anesthesiology (Licence: WI 69279) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NC 2015-00832) | |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2020-01-16 |