| NPI | 1841386869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS18085) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 282061) |
| 207L00000X Anesthesiology (Licence: NH 20082) | |
| 207L00000X Anesthesiology (Licence: CT 042423) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2023-08-21 |