| NPI | 1467945337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA 330702) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC LL52646) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2022-09-02 |