| NPI | 1295272417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NE 1852) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 1852) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2020-06-15 |