| NPI | 1841738150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D97954) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D97954) |
| 207L00000X Anesthesiology (Licence: WA MD61440871) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WA MD61440871) | |
| 208D00000X General Practice (Licence: NE 30981) | |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2024-03-27 |