| NPI | 1649652199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 38206) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC LL38206) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2021-02-02 |