| NPI | 1427532837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 291019) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA R-11206) |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2022-06-01 |