| NPI | 1235367590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 55714) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: WI 55714) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2021-11-12 |