| NPI | 1245693183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SD 15034) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2023-01483) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2024-06-27 |