| NPI | 1285073445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0065394) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2017021715) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2021-07-29 |