| NPI | 1518979756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD24230) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A80688) |
| 207L00000X Anesthesiology (Licence: IN 01055563A) | |
| 207L00000X Anesthesiology (Licence: FL ME86537) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2022-02-04 |