| NPI | 1134154388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 88799) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 44088) |
| 207L00000X Anesthesiology (Licence: TN 67209) | |
| 207L00000X Anesthesiology (Licence: WY 7556A) | |
| 207L00000X Anesthesiology (Licence: CA A87236) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-03-16 |