| NPI | 1922267319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A98785) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A98785) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CA A98785) | |
| 207L00000X Anesthesiology (Licence: CA A98785) | |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2023-07-12 |