| NPI | 1568497873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 0045943) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 200600461) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2021-06-18 |