| NPI | 1982849394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101262138) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME109604) |
| 207L00000X Anesthesiology (Licence: GA 065114) | |
| 207L00000X Anesthesiology (Licence: NV 14482) | |
| 207L00000X Anesthesiology (Licence: AL MD.32376) | |
| Enumeration Date | 2008-12-14 |
| Last Update Date | 2017-05-11 |