| NPI | 1134109960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 11298) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO CDR.0002476) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2023-03-03 |