| NPI | 1578726212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 12756) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MT 114604) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2022-08-10 |