| NPI | 1427184803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 71677) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN MD46274) |
| 207L00000X Anesthesiology (Licence: MA L-220922) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2019-09-26 |