| NPI | 1689298887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MT 139324) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA R-11926) |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2024-06-05 |