| NPI | 1467414243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD00047182) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO CDR.0006149) |
| 207L00000X Anesthesiology (Licence: IA MD-54219) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2025-12-09 |