| NPI | 1487603791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 17280) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 3816) |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2023-12-13 |