| NPI | 1588751937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0065012) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL trn-9224) |
| 207L00000X Anesthesiology (Licence: WA MD60085927) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2022-08-31 |