| NPI | 1598845588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0063791) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101242099) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-05-01 |