| NPI | 1346402815 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA OS016160) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 005952) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2024-04-24 |