| NPI | 1528094596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 009400) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA OP00001636) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2023-09-27 |