| NPI | 1639437965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AR E-14956) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A128366) |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: CA A128366) | |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2023-02-07 |