| NPI | 1598798498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ID O-0436) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: HI DOS-1081) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2023-10-26 |