| NPI | 1689782559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 37085) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 24336) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2018-03-17 |