| NPI | 1598022279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q0634) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX 1598022279) |
| 208600000X Surgery (Licence: TX BP10044089) | |
| 208D00000X General Practice (Licence: TX Q0634) | |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2023-09-14 |