| NPI | 1326626052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2023029860) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2021022265) |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2023-07-30 |