| NPI | 1538548367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 82999) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC MMD.38162 LL) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2022-06-27 |