| NPI | 1649426941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0051600) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2008018698) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2013-06-06 |