| NPI | 1821258138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A126988) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A126988) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2012015104) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2019-07-17 |