| NPI | 1750701447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: SC 87506) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2019020871) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2019020871) | |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2022-08-15 |