| NPI | 1639149529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 70437) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 31787) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2023-07-24 |