| NPI | 1306972831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI 12424) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 50425) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2021-12-09 |