| NPI | 1316153208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 41007) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY TP208) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2024-07-01 |