| NPI | 1366708984 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MT 53748) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR E-16278) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2023-04-25 |