| NPI | 1023060399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA 44987) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MT 112687) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2022-05-27 |