| NPI | 1144382979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA OS013341) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA FZ1304435) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2022-01-27 |