| NPI | 1457525800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 49723) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO TL2620) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2021-06-04 |