| NPI | 1023284569 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 38014) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2007-00021) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2020-10-01 |