| NPI | 1215962402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G88656) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D53533) |
| 207L00000X Anesthesiology (Licence: MT 112079) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2024-06-28 |