| NPI | 1376866335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 42947) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX U8316) |
| 207L00000X Anesthesiology (Licence: WA MD.MD.60837534) | |
| 207L00000X Anesthesiology (Licence: CO DR.0053898) | |
| 207L00000X Anesthesiology (Licence: CA A 119464) | |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2024-07-05 |