| NPI | 1629054291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NV 9933) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 9933) |
| 207L00000X Anesthesiology (Licence: AZ 45275) | |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2024-01-31 |