| NPI | 1427492768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 17857) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 75259-21) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2024-11-12 |