| NPI | 1538270517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD166069) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD0048524) |
| 207L00000X Anesthesiology (Licence: CA A119637) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OR MD166069) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-10-19 |