| NPI | 1396918090 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 79537) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 30314) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2023-07-19 |