| NPI | 1679588537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MT 104236) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 45728) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2022-06-07 |