| NPI | 1144257189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ID M-5834) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ID M5834) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-01-17 |