| NPI | 1285998112 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 075885) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0102203561) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2022-10-27 |