| NPI | 1184683005 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0043737) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AK 6213) |
| 207L00000X Anesthesiology (Licence: MO 2008021139) | |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2019-12-02 |