| NPI | 1093081705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A172286) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 62815) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2023-03-07 |