| NPI | 1649295452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WI 50412) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TN 6523637) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 116530) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-11-02 |