| NPI | 1215951447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0046243) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VT 0420008113) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-11-24 |