| NPI | 1407419351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ID O-1973) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO DR.0071069) |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2024-08-19 |