| NPI | 1144232026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0035143) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NM MD2004-0111) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2021-08-06 |