| NPI | 1215968805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD00036295) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 3153) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2024-10-22 |