| NPI | 1003065376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD218322) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 13111) |
| 207L00000X Anesthesiology (Licence: CA A123691) | |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2024-06-10 |