| NPI | 1487672812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0072551) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301082828) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2024-04-04 |