| NPI | 1477782894 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101260084) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D76659) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2023-06-19 |