| NPI | 1750572277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: AR E-7347) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 147334) |
| 207L00000X Anesthesiology (Licence: TX P5564) | |
| 207L00000X Anesthesiology (Licence: AR E-7347) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NC 147334) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX P5564) | |
| 207R00000X Internal Medicine (Licence: MA 232336) | |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2016-03-28 |