| NPI | 1063579290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD449615) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GU M-1485) |
| 207L00000X Anesthesiology (Licence: DE C1-0008744) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2023-01-05 |