| NPI | 1225001779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 230792) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OS010985L) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2024-04-23 |