| NPI | 1588232391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2023024871) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2021023204) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2023-07-28 |