| NPI | 1386804227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2018-00871) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 072855) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2024-09-23 |