| NPI | 1578512620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 20A13748) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: SC 83360) |
| 207L00000X Anesthesiology (Licence: NY 262853) | |
| 207L00000X Anesthesiology (Licence: MA 208093) | |
| 207L00000X Anesthesiology (Licence: IL 036167913) | |
| 207L00000X Anesthesiology (Licence: RI DO00556) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2024-01-24 |