| NPI | 1649538620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 78044) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 078044) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2022-12-05 |