| NPI | 1477787828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 25mb09144900) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 5101020287) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2024-10-10 |