| NPI | 1538149661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 257442) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 024051) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2023-06-04 |