| NPI | 1457589269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 18641) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301094673) |
| 207L00000X Anesthesiology (Licence: IL 36134074) | |
| 207L00000X Anesthesiology (Licence: IA 41522) | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2020-01-29 |