| NPI | 1467639641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 14364) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA L-228232) |
| 207L00000X Anesthesiology (Licence: LA MD.203437) | |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2021-01-07 |