| NPI | 1295774750 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2015-01341) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MT 148229) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2025-01-28 |