| NPI | 1710368931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CO DR.0063825) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO DR.0063825) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2025-02-26 |