| NPI | 1679952287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: MI 4301501682) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301501682) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2020-07-01 |