| NPI | 1013237783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 32610) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC MMD.32610 LL) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2020-11-02 |