| NPI | 1588809834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MT 81253) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 229594) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2021-11-30 |