| NPI | 1588630560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: GA 48745) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD071389L) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2024-01-05 |