| NPI | 1376747956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 3840) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 47018) |
| 207L00000X Anesthesiology (Licence: WA MD 60001439) | |
| 207L00000X Anesthesiology (Licence: VA 0101244354) | |
| 207L00000X Anesthesiology (Licence: IL 036171943) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2024-09-26 |