| NPI | 1487928107 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD61462641) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AK 124525) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2024-06-28 |