| NPI | 1134548092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2021-02875) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101258687) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2024-09-18 |