| NPI | 1487642971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0066401) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101232346) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2023-11-10 |