| NPI | 1003017229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 20A10260) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 4708) |
| 207L00000X Anesthesiology (Licence: AR E-5858) | |
| 207L00000X Anesthesiology (Licence: WA OP 60011959) | |
| 207L00000X Anesthesiology (Licence: AZ 4799) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2022-07-19 |