| NPI | 1942311881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 31996) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NC 31996) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: VA 0101226687) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-02-02 |