| NPI | 1558396283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2023-03471) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 27612) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2024-01-12 |