| NPI | 1316007800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 24248) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 024248) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2022-10-31 |