| NPI | 1518413384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL UO4903) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2024037932) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2024-09-25 |