| NPI | 1457323891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX M2688) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: FL ME87894) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2023-03-07 |