| NPI | 1386672509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101240641) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 046246) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2022-07-19 |