| NPI | 1588690499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2008-00698) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 030918) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2024-11-07 |