| NPI | 1205222916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 009353) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO DR.0062329) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2023-05-12 |