| NPI | 1568690832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 97909) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD29309) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2024-05-17 |