| NPI | 1720048028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 36730) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 43647) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2024-05-29 |