| NPI | 1609948520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: VA 0101046539) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101046539) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2019-03-05 |