| NPI | 1164842928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 100323) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 69334) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2024-10-15 |