| NPI | 1548290505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 22842) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 40797) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2023-10-17 |