| NPI | 1982851663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 58305) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 201101691) |
| 207L00000X Anesthesiology (Licence: AZ R70540) | |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2020-10-28 |