| NPI | 1578554606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 92198) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2006-00273) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2024-08-23 |