| NPI | 1518288703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 32792) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC ll32792) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2021-03-04 |