| NPI | 1972869949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NM MD2021-0631) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 0057087) |
| 207L00000X Anesthesiology (Licence: MA S52152425) | |
| 207L00000X Anesthesiology (Licence: NM MD2021-0631) | |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: CO DR.0057087) | |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2024-05-10 |