| NPI | 1598129256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0071859) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0102205228) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2025-01-31 |