| NPI | 1902244213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: NE 34783) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 34783) |
| Enumeration Date | 2013-06-08 |
| Last Update Date | 2023-03-22 |