| NPI | 1578665725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 21971) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: UT 173723-1205) |
| 207L00000X Anesthesiology (Licence: CA A48457) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2022-08-04 |