| NPI | 1699700401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101235646) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D61217) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2021-03-23 |