| NPI | 1316044035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 16940) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101040798) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2022-01-13 |