| NPI | 1881038784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: WI 63541) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 63541) |
| 207L00000X Anesthesiology (Licence: GA 86349) | |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2021-06-23 |