| NPI | 1437261732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VT 042.0018588) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 34198) |
| 207L00000X Anesthesiology (Licence: IA 41261) | |
| 207L00000X Anesthesiology (Licence: NY 1739321) | |
| 207L00000X Anesthesiology (Licence: GA 100988) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-08-06 |