| NPI | 1699782656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ID M-10064) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NM 2004-0696) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2023-10-25 |