| NPI | 1932533932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD61017526) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD196929) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2023-11-27 |