| NPI | 1306370788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35C.000962) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX T7274) |
| 207L00000X Anesthesiology (Licence: WI 4523-320) | |
| 207L00000X Anesthesiology (Licence: CO CDR.0002590) | |
| 207L00000X Anesthesiology (Licence: FL ME159821) | |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2024-08-19 |