| NPI | 1447781349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2021-00388) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY R4605) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2022-01-31 |