| NPI | 1043402126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301097365) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 390200000x-Student i) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2023-12-05 |