| NPI | 1720296494 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 59096) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 059096) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2023-02-21 |