| NPI | 1093829780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 242227) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 56634) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2023-06-15 |