| NPI | 1033371901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA 61243386) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 60 266653) |
| 207L00000X Anesthesiology (Licence: HI MD-17660) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2023-03-03 |