| NPI | 1730484999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME146214) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IN 01054941A) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MA 52838) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA G57717) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MI 52491) | |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2021-10-07 |