| NPI | 1093899452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 31635) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL OS8982) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2022-06-28 |