| NPI | 1558358267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS5904) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL OS-5904) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2022-04-01 |