| NPI | 1548624448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS18461) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL DO.2521) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2022-06-28 |