| NPI | 1659727519 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: MO 2021019394) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2021019394) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2025-04-17 |