| NPI | 1275190753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 011236) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 5101027266) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2025-02-20 |