| NPI | 1538206131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A61160) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD217563) |
| 207L00000X Anesthesiology (Licence: WI 101666-875) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2024-04-29 |