| NPI | 1699041863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 76501) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL MD.35302) |
| Enumeration Date | 2012-03-31 |
| Last Update Date | 2020-03-22 |