| NPI | 1386612281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 046941) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MT 113119) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2022-06-20 |