| NPI | 1659509057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 70504) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 41546) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2024-01-08 |