| NPI | 1548294689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 5101007983) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MT 102611) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2021-11-02 |