| NPI | 1588048763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 23957) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 008133) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2023-10-20 |