| NPI | 1194068965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 68634) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD 9766) |
| Enumeration Date | 2013-03-31 |
| Last Update Date | 2023-05-11 |