| NPI | 1427286574 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2013-01427) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC LL31866) |
| Enumeration Date | 2009-06-28 |
| Last Update Date | 2023-03-07 |