| NPI | 1083054936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 007608) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL OS-14684) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2021-01-15 |