| NPI | 1992081087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MA 266836) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NH 23778) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A125251) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: RI MD19110) | |
| 207L00000X Anesthesiology (Licence: CA A125251) | |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2023-05-17 |