| NPI | 1881866762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: DC MD038431) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D66890) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2024-01-22 |