| NPI | 1497913313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA MD.207622) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 122343) |
| 207L00000X Anesthesiology (Licence: VA 0101248327) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2018-07-18 |