| NPI | 1750536520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 20A10561) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 66537) |
| 207L00000X Anesthesiology (Licence: FL OS11380) | |
| 207L00000X Anesthesiology (Licence: MD H74967) | |
| 207L00000X Anesthesiology (Licence: NY 60 264743) | |
| 207L00000X Anesthesiology (Licence: NM A-1484-08) | |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2022-03-03 |