| NPI | 1770016107 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MT 104001) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WA MD61343460) |
| 207L00000X Anesthesiology (Licence: WA MD61343460) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MT 104001) | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2023-10-06 |