| NPI | 1174778922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 68548) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 51963) |
| 207L00000X Anesthesiology (Licence: IL 125053026) | |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2024-05-15 |