| NPI | 1487713533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA 28947) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 36749) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2023-05-26 |