| NPI | 1598992489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 23910) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A132490) |
| 207L00000X Anesthesiology (Licence: PA MD452440) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2023-10-20 |