| NPI | 1043298839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AL DO.871) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL OS12631) |
| 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: AL DO-871) | |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2024-11-06 |