| NPI | 1376640045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: HI MD-18844) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 24690) |
| 207L00000X Anesthesiology (Licence: OR MD204530) | |
| 207L00000X Anesthesiology (Licence: MO 2004023916) | |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2024-03-19 |