| NPI | 1205360195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 22544) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: UT 8033296-1205) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2022-08-16 |