| NPI | 1093977258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 52300) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT192902) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2021-04-20 |