| NPI | 1619997798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 40029) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 45500) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2022-12-13 |