| NPI | 1821558545 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A178640) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A178640) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A178640) | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2025-11-17 |