| NPI | 1558313726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 85020) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 42724) |
| 207L00000X Anesthesiology (Licence: GA 042724) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2024-05-13 |