| NPI | 1447252713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 56093) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 056093) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2022-12-12 |