| NPI | 1003874538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2008-00525) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101059229) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2024-09-20 |