| NPI | 1649238676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 200300271) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101233799) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2024-09-20 |