| NPI | 1598739450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 53308) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 42178) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2021-06-21 |