| NPI | 1407171952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0075351) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 43638) |
| Enumeration Date | 2010-03-27 |
| Last Update Date | 2025-06-05 |