| NPI | 1831546258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 282202) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: PA MD483227) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2023-11-09 |