| NPI | 1467831537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ND 15603) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO TL0006349) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2023-12-26 |