| NPI | 1619060761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 051337) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 23775) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2024-02-23 |