| NPI | 1255338851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 30229) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MT 127131) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2024-10-21 |