| NPI | 1275503062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD00037259) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G70171) |
| 207L00000X Anesthesiology (Licence: IL 036-147728) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2018-11-26 |