| NPI | 1598798530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 14789) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC SC14789) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2024-08-07 |