| NPI | 1699824086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CO DR.0048978) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 48978) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2018-11-02 |