| NPI | 1144318387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 66643) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC LL27178) |
| 207L00000X Anesthesiology (Licence: GA 066643) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2022-12-01 |