| NPI | 1225046352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A79654) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD61096343) |
| 207L00000X Anesthesiology (Licence: AK 100064) | |
| 207L00000X Anesthesiology (Licence: IL 036-167022) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2023-12-14 |