| NPI | 1417168667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA 37967) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 85529) |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2024-07-03 |