| NPI | 1598256570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0070627) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO TL.0008419) |
| 208600000X Surgery (Licence: MI 4301114691) | |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2025-08-20 |