| NPI | 1801851894 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C160925) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 13086) |
| 207L00000X Anesthesiology (Licence: WA MD60215639) | |
| 207L00000X Anesthesiology (Licence: WI 49488-020) | |
| 207L00000X Anesthesiology (Licence: WI 1575) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2022-01-03 |