| NPI | 1376580274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 29194) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 029194) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2022-11-18 |