| NPI | 1598729238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA 428923) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA MD 025672) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2020-10-13 |