| NPI | 1669932661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NE 9536) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 6952) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2023-11-15 |