| NPI | 1407172380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AL DO.1429) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN DO2319) |
| 207L00000X Anesthesiology (Licence: KY 03881) | |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2015-09-28 |