| NPI | 1467554857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NE 18178) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SD 4438) |
| 207L00000X Anesthesiology (Licence: ME MD24515) | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2021-02-11 |