| NPI | 1184690349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301088830) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 210930) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2019-07-19 |