| NPI | 1629422456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA OS022351) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: UT 13274529-1204) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2023-10-02 |