| NPI | 1497102206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 64116) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S021947) |
| Enumeration Date | 2016-05-21 |
| Last Update Date | 2024-01-04 |