| NPI | 1376938647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2024-03042) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD Hoo89649) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2024-11-03 |