| NPI | 1205871969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 39760) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 71812) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2024-09-18 |