| NPI | 1710919899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA MD.206972) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: HI MD-13116) |
| 207L00000X Anesthesiology (Licence: CA C153720) | |
| 207L00000X Anesthesiology (Licence: FL ME102194) | |
| 207L00000X Anesthesiology (Licence: AZ 75383) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2024-12-16 |