| NPI | 1639411366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2017014861) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2017014861) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MT MED-PHYS-LIC-112135) | |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2022-04-25 |