| NPI | 1720307325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0054140) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MT 117133) |
| 207L00000X Anesthesiology (Licence: AR E-11882) | |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2023-02-03 |