| NPI | 1386829539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 94393) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2009013716) |
| 207L00000X Anesthesiology (Licence: WI 2614-320) | |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2024-04-23 |