| NPI | 1245282896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 66745) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 20552) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-12-03 |