| NPI | 1396232336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101276321) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC LL52710) |
| 207L00000X Anesthesiology (Licence: SC 52710) | |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2022-09-13 |