| NPI | 1447205885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX J9674) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX J9674) |
| 207L00000X Anesthesiology (Licence: CA C168192) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-08-27 |