| NPI | 1417938358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI BR3609534) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 34270) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2023-10-05 |