| NPI | 1154816544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0070723) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ME ME25880) |
| 207L00000X Anesthesiology (Licence: IL 125.072765) | |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2023-10-17 |