| NPI | 1437644754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 009527) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2018020284) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2022-06-15 |