| NPI | 1194770073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 44655) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD217385) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2023-09-20 |