| NPI | 1184729881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 11816) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 18640) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2021-03-12 |