| NPI | 1033372578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 068419) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC LL31143) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2024-09-08 |