| NPI | 1710190376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301099309) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO CDR.0005934) |
| 207L00000X Anesthesiology (Licence: KY C4789) | |
| 207L00000X Anesthesiology (Licence: ME MD29943) | |
| 207L00000X Anesthesiology (Licence: IN 01097912A) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2025-10-27 |