| NPI | 1184848525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2021-00874) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 88619) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2023-10-23 |