| NPI | 1689888034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS0009623) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC OS9623) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2021-01-05 |