| NPI | 1881044857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 21783) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2016019048) |
| 207L00000X Anesthesiology (Licence: CA A168825) | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2021-08-30 |