| NPI | 1174939987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0061726) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CO DR.0061726) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2023-06-02 |