| NPI | 1740221316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME146351) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 325269) |
| 207L00000X Anesthesiology (Licence: MS 15609) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: LA 325269) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME146351) | |
| 207T00000X Neurological Surgery (Licence: MS 15609) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2025-06-04 |