| NPI | 1497191894 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 95736) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL 137106) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2023-07-07 |