| NPI | 1073527941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MS 15013) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A60753) |
| 207L00000X Anesthesiology (Licence: PA MD057511L) | |
| 207L00000X Anesthesiology (Licence: TN MD0000028302) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2016-01-13 |