| NPI | 1154496933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 237125) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 221855) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2023-11-21 |