| NPI | 1881866762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: DC MD038431) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101247585) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D66890) | |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2025-10-20 |