| NPI | 1487952313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 81946) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MS 24168) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2022-07-02 |