| NPI | 1982685673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL ME127000) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 040265) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101274194) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2023-04-19 |