| NPI | 1174752737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 005481) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 5101017908) |
| Enumeration Date | 2009-07-04 |
| Last Update Date | 2019-12-16 |