| NPI | 1225695570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4351044220) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 74583) |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2024-12-17 |