| NPI | 1225522998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NE 9234) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 010095) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2022-08-15 |