| NPI | 1558312736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 84690) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 027439) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2021-05-03 |