| NPI | 1598710089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AL 00012093) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL 12093) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2024-01-31 |