| NPI | 1205242062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 20561) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 277037) |
| 207L00000X Anesthesiology (Licence: MA 262735) | |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2022-03-07 |