| NPI | 1659318723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 11195) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 038260) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-07-13 |