| NPI | 1861653834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CT 56089) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 56089) |
| Enumeration Date | 2008-06-22 |
| Last Update Date | 2017-03-29 |