| NPI | 1669810081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: KY 04340) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 04340) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OH 34.013671) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: KY 04340) | |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2022-08-26 |