| NPI | 1316138126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 12484) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 37368) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2022-07-21 |