| NPI | 1427351337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 13997) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 90261) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2022-04-22 |