| NPI | 1194217067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA DO-06300) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 8303) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2023-06-06 |