| NPI | 1275997728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA DO.OP.61149373) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR DO198470) |
| 207L00000X Anesthesiology (Licence: IL 125.068363) | |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2022-02-15 |