| NPI | 1306011515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2019-01646) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 229360) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2024-09-20 |