| NPI | 1396232989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 66600) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD 0) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2022-12-14 |