| NPI | 1407243942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 97762) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D88255) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2024-08-05 |