| NPI | 1699725416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 9401095) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC MD13867) |
| 207L00000X Anesthesiology (Licence: WI 71269) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2024-09-27 |