| NPI | 1841259751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 75229) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 5101014478) |
| 207L00000X Anesthesiology (Licence: OK 2912) | |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2024-04-19 |