| NPI | 1336335942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: HI DOS2479) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OS021636) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2024-09-22 |