| NPI | 1780640185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 009155) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: AZ 009155) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA OP60100386) | |
| 207L00000X Anesthesiology (Licence: WA OP60100386) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2022-12-08 |