| NPI | 1649665076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CO DR.0062679) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO DR.0062679) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2025-03-14 |