| NPI | 1184649899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 42985) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 229078) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-09-22 |