| NPI | 1518072883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 64026) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 205828) |
| 207L00000X Anesthesiology (Licence: NY 255826-1) | |
| 207L00000X Anesthesiology (Licence: CO 40418) | |
| 207L00000X Anesthesiology (Licence: MT 50980) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2021-10-25 |