| NPI | 1437366754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2014-01997) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101239760) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2024-09-18 |