| NPI | 1437160322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME56659) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 57848) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2022-11-30 |