| NPI | 1023085842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AR E-12058) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 35938) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2020-03-17 |