| NPI | 1346444973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 1243) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2009-01044) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2021-11-10 |