| NPI | 1326482977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS14567) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2017009383) |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2021-09-14 |