| NPI | 1376106492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 73866) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 10767) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2024-07-16 |