| NPI | 1447289822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 44605) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 86796) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2024-07-31 |