| NPI | 1407883200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 58072) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 242569) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2022-12-22 |