| NPI | 1770757148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: VA 0101256037) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL 11086) |
| 207L00000X Anesthesiology (Licence: VA 0101256037) | |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2020-10-16 |