| NPI | 1700268638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 274275) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NC 2023-01456) |
| Enumeration Date | 2015-06-27 |
| Last Update Date | 2025-11-14 |