| NPI | 1659683266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MS 23160) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MS t-2288) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2020-03-04 |