| NPI | 1437194487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0039499) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 24095) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2021-07-02 |