| NPI | 1144555947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 68468) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 6171) |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2021-02-01 |