| NPI | 1518348564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ID M15505) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 18760) |
| 207L00000X Anesthesiology (Licence: NE 7481) | |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2023-10-02 |