| NPI | 1316350721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 74209) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 28682) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2024-08-13 |