| NPI | 1699807552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0047671) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2006009297) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2024-09-06 |