| NPI | 1710243233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: AZ 59273) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA 1161356) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2023-01-18 |