| NPI | 1437157823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD00034274) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD187597) |
| 207L00000X Anesthesiology (Licence: GA 082131) | |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2023-03-16 |