| NPI | 1639344229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CO DR.0060334) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX Q6861) |
| 207L00000X Anesthesiology (Licence: NY 260119) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX Q6861) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 260119) | |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2022-07-21 |