| NPI | 1659573806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 52084) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA MD 204477) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-10-01 |