| NPI | 1235155367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 29045) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 029045) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2023-05-30 |