| NPI | 1629397500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD170464) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 94-07375) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OR MD170464) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OH 123306) | |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2022-07-21 |