| NPI | 1669458352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 37055) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA 32469) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2024-09-20 |