| NPI | 1184751026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 340509-1204) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR DO25182) |
| 207L00000X Anesthesiology (Licence: WA OP00002193) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2022-03-31 |