| NPI | 1366533366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA 335069) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL 23714) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2023-02-24 |