| NPI | 1477947760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 57729) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL TRN22072) |
| 207L00000X Anesthesiology (Licence: CA A172140) | |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2023-12-19 |