| NPI | 1851551279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 20961) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: UT 6851189-1205) |
| 207L00000X Anesthesiology (Licence: CA A102149) | |
| 207L00000X Anesthesiology (Licence: WY 8589A) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2023-07-25 |