| NPI | 1811930126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D71512) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD426196) |
| 207L00000X Anesthesiology (Licence: MD D71512) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2022-09-26 |