| NPI | 1679610042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 005083) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD T4911) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-09-11 |