| NPI | 1245431220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MO 2021029953) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: MO 2021029953) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2024-04-25 |