| NPI | 1508205097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 35878) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC LL35878) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2022-07-21 |